MRS. DIANA SPOCK ADEBULEHIN


Address: 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644
Phone: 4042991700

MRS. DIANA SPOCK ADEBULEHIN (NPI# 1700965159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700965159
Entity Type Individual
Full Name MRS. DIANA SPOCK ADEBULEHIN
Credential P.A.-C.
Practice Address 1014 Sycamore Dr
Ste. B
Decatur
GA 30030-1644
Mailing Address 200 Ivy Glen Cir
Avondale Estates
GA 30002-1766
Practice Telephone 4042991700
Practice Fax Number 4042991616
Mailing Telephone 4045505590
Mailing Fax Number 4042991616
Enumeration Date 2006-11-06
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
004458 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1014 SYCAMORE DR
STE. B
City DECATUR
State GA
Zip Code 30030-1644

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770528895 Valerie Lynne Compson Specialist/Technologist 1014 Sycamore Dr, Suite A, Decatur, GA 30030-1644 2006-06-20
1245863174 Emory Physical Therapy, LLC Physical Therapist 1014 Sycamore Dr, Decatur, GA 30030-1644 2020-02-19
1104274323 Monal, LLC Physician Assistant 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 2016-05-27
1265849343 Gary Anthony Rudolph Bowen Physician Assistant 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 2014-07-21
1275760720 Daniel Thomas Huttman Orthopaedic Surgery 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 2009-06-11
1346474004 Amanda Lauren Dempsey Orthopaedic Surgery 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 2009-05-11
1043461650 Alexandra Moran Physical Therapist 1014 Sycamore Dr, Suite A, Decatur, GA 30030-1644 2008-10-02
1790864049 Timothy J. Mills Registered Nurse 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 2006-11-06
1720167083 Jessica E. Simbro Physical Therapist 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 2006-11-06
1396824991 Corey Darnell Bennett Specialist/Technologist 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 2006-11-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801413174 Pa-c Surgical Assist, LLC Clinic/Center 520 W Ponce Leon Ave #1706, Decatur, GA 30030 2020-07-02
1417587478 Elizabeth Heffron Acupuncturist 619b East College Avenue, Decatur, GA 30030 2020-01-17
1669016143 Atlanta Upper Cervical Chiropractic LLC Chiropractor 125 E Trinity Place, Suite #247, Decatur, GA 30030 2019-10-29
1831757418 Jessica Stewart Counselor 755 Commerce Dr Ste 903, Decatur, GA 30030 2019-05-30
1699238733 Dinah Augustin Registered Nurse 1458 Church St., Unit B, Decatur, GA 30030 2019-04-06
1093284291 Eliza Segell Social Worker 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 2018-11-16
1912476466 Positive Impact Health Centers, Inc. Pharmacy 523 Church Street, Suite B, Decatur, GA 30030 2018-11-14
1932685096 T2 Imaging Radiology 1376 Church Street, Suite 100, Decatur, GA 30030 2018-07-12
1992292858 Keeanna M Powell Counselor Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 2018-04-17
1780185488 Solutions Ae Inc Counselor One West Square Court, Suite 710, Decatur, GA 30030 2018-02-27
Find all providers in zip 30030

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891136750 Rodney Oneal Morrison Physician Assistant 3204 Jefferson Square Ct, Decatur, GA 30030-1730 2013-07-08
1558625319 Coraccess, Inc Physician Assistant 1478 Leafview Rd, Decatur, GA 30033-2112 2012-06-26
1326525437 Aopa, LLC Physician Assistant 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 2018-07-21
1104274323 Monal, LLC Physician Assistant 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 2016-05-27
1235505280 Moniqua Turner Physician Assistant 2675 N Decatur Rd, Decatur, GA 30033-6131 2015-08-13
1982093480 Southeastern Orthopedic Surgical Pa, LLC Physician Assistant 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 2015-01-21
1861768467 Lindsay Contracting Services Physician Assistant 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 2012-03-28
1740560978 Midwestern Advanced Orthopaedics and Sports Medicine Inc Physician Assistant 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 2011-08-19
1114169703 Edg Sports Medicine,inc Physician Assistant 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 2009-03-30
1114110061 Douglas T. Johnson Physician Assistant 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 2007-08-23
Find all providers in DECATUR

Competitor

Search similar providers

City DECATUR
Zip Code 30030

Improve Information

Please comment or provide details below to improve the information on MRS. DIANA SPOCK ADEBULEHIN.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches